JP5569884B2 - Maternity health management device and health management system - Google Patents
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本発明は妊婦の健康管理装置及び健康管理システムなどに関し、より詳細には、定期健診から次の定期健診までの間の健康管理を在宅で行うことができる妊婦の健康管理装置及び健康管理システムに関するものである。 BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a pregnant woman's health management device, health management system, and the like, and more specifically, a pregnant woman's health management device and health management capable of performing health management from a regular medical examination to the next regular medical examination at home. It is about the system.
妊娠が確認されると妊婦には行政機関から母子手帳が交付されると共に、医療機関によって4週間〜1週間に１回程度の頻度で定期健診が行われる。定期健診と次の定期健診との間の健康管理は妊婦の自己管理に委ねられている。 When pregnancy is confirmed, a maternal and child handbook is issued to the pregnant woman from the administrative organization, and a regular checkup is performed by the medical institution about once every 4 weeks to 1 week. The health management between the regular health check and the next regular health check is left to the self-management of the pregnant woman.
しかし、健康管理を妊婦の自己管理のみに委ねると、近年の核家族化等の影響もあって周りに相談相手がいない場合には妊婦は精神的に不安定になりやすく、些細な体調の変化であっても医療機関に緊急受診することがある。逆に、重篤な体調の変化が生じているにもかかわらず医療機関に行かず、症状を悪化させることもある。 However, entrusting health management only to the self-management of pregnant women, due to the recent nuclear family and other reasons, pregnant women tend to be mentally unstable and have minor changes in physical condition. Even so, an emergency visit may be made to a medical institution. On the other hand, the patient may not go to a medical institution despite severe changes in physical condition and may worsen symptoms.
そこで、例えば特許文献１では、基礎体温や体重、血圧などを入力することによって、入力値と標準値とを比較して表示し、妊婦の健康を管理するシステムが提案されている。また、特許文献２では、妊婦の体調を示す項目を常時測定して医療機関等に送信し、妊婦の体調や胎児の状態を常時モニタリングする体調管理装置が提案されている。 Therefore, for example, Patent Document 1 proposes a system for managing the health of a pregnant woman by inputting basal body temperature, body weight, blood pressure, and the like, comparing and displaying the input value and the standard value. Patent Document 2 proposes a physical condition management device that constantly measures an item indicating the physical condition of a pregnant woman and transmits the item to a medical institution or the like, and constantly monitors the physical condition of the pregnant woman and the state of the fetus.
しかしながら、特許文献１に提案されているシステムでは、体質の異なる個々の妊婦の生体値を標準値と画一的に比較して妊婦の状態を判断するので、通常は些細な体調変化であっても特定の妊婦にとっては重大な症状の予兆となる変化を見逃すおそれがある。また、特許文献２に提案されている体調管理装置では、妊婦の体調を常時モニタリングするので、妊婦の些細な体調変化を見逃すことはなくなるものの、常時モニタリングしなければならない医療機関等の負担は著しく増大すると考えられる。 However, in the system proposed in Patent Document 1, the state of a pregnant woman is judged by comparing the biological values of individual pregnant women with different constitutions uniformly with the standard value. However, for certain pregnant women, there is a risk of overlooking changes that are predictive of serious symptoms. In addition, the physical condition management device proposed in Patent Document 2 constantly monitors the physical condition of a pregnant woman, so that a slight change in physical condition of the pregnant woman is not overlooked, but the burden on medical institutions and the like that must be constantly monitored is significant. It is thought to increase.
本発明はこのような従来の問題に鑑みてなされたものであり、その目的は、個々の妊婦の健康状態を的確に判断し、一般には些細な体調変化であってもその妊婦にとっては重大な体調変化を見逃さず、しかも医療機関への不必要な受診を抑制して医療機関の負担を軽減する健康管理装置及び健康管理システムを提供することにある。 The present invention has been made in view of such conventional problems, and its purpose is to accurately determine the health status of each pregnant woman, and generally, even a slight change in physical condition is important for that pregnant woman. An object of the present invention is to provide a health management device and a health management system that do not miss a change in physical condition, and suppress unnecessary medical visits to reduce the burden on the medical institution.
本発明によれば、医療機関による診察結果と、所定の問診票と、前記問診票に対する回答とを記憶する記憶手段と、前記問診票を表示する表示手段と、前記問診票に対する回答を入力する入力手段と、前記問診票に対する回答を、前記診察結果を加味して演算し数値化する演算手段と、前記演算結果によって妊婦の健康状態を判断する判断手段とを備え、前記判断手段による判断結果を前記表示手段に表示する妊婦の健康管理装置であって、前記医療機関による診察が腟内細菌に対する耐性の検査を含み、腟内細菌に対する耐性が低い妊婦の場合には、前記演算手段において不健康側へ数値を加味することを特徴とする妊婦の健康管理装置
が提供される。
According to the present invention, a storage means for storing a medical examination result by a medical institution, a predetermined medical questionnaire, and an answer to the medical questionnaire, a display means for displaying the medical questionnaire, and an answer to the medical questionnaire are input. A judgment result by the judgment means, comprising: an input means; a calculation means for calculating and digitizing an answer to the questionnaire with the result of the examination; and a judgment means for judging the health status of the pregnant woman based on the calculation result Is displayed on the display means, and the examination by the medical institution includes a test for resistance to intravaginal bacteria, and in the case of a pregnant woman with low resistance to intravaginal bacteria, There is provided a health care apparatus for pregnant women characterized by adding numerical values to the side .
また、妊婦の健康状態をより的確に判断する観点からは、前記演算手段において、妊婦の妊娠週数によって前記問診票における回答の重み付けを変えるのが好ましい。 Further, from the viewpoint of more accurately determining the health status of the pregnant woman, it is preferable that the calculation means changes the weighting of the answer in the questionnaire according to the number of pregnancy weeks of the pregnant woman.
そしてまた、通信手段をさらに設け、前記判断手段によって医師の診察を要すると判断された場合には、前記通信手段によって医療機関にその旨を報知するようにするのが好ましい。 In addition, it is preferable that a communication unit is further provided, and when the determination unit determines that medical examination is required, the communication unit notifies the medical institution to that effect.
また本発明によれば、妊婦の使用する妊婦用端末と、医療機関の使用する医療機関用端末と、サーバとが通信ネットワークで接続されてなるシステムであって、前記妊婦用端末は、所定の問診票を表示する第１表示部と、前記問診票に対する回答を入力する第１入力部とを備え、前記医療機関用端末は、診察結果を入力する第２入力部を備え、前記サーバは、前記問診票と、前記問診票に対する妊婦の回答と、医療機関による診察結果とを記憶する記憶部と、前記問診票に対する回答を、医療機関による診察結果を加味して演算し数値化する演算部と、演算結果によって妊婦の健康状態を判断する判断部とを備え、前記判断部による判断結果を妊婦用端末の第１表示部に表示し、前記医療機関による診察が腟内細菌に対する耐性の検査を含み、腟内細菌に対する耐性が低い妊婦の場合には、前記演算部において不健康側へ数値を加味する妊婦の健康管理システムが提供される。 According to the present invention, there is provided a system in which a pregnant woman terminal used by a pregnant woman, a medical institution terminal used by a medical institution, and a server are connected via a communication network, wherein the pregnant woman terminal is a predetermined device. A first display unit for displaying a medical questionnaire; and a first input unit for inputting an answer to the medical questionnaire; the medical institution terminal includes a second input unit for inputting a medical examination result; A storage unit for storing the questionnaire, a response of a pregnant woman to the questionnaire, and a medical examination result by a medical institution, and a calculation unit for calculating and quantifying the answer to the medical examination sheet in consideration of the medical examination result by the medical institution And a determination unit that determines the health status of the pregnant woman based on the calculation result, the determination result by the determination unit is displayed on the first display unit of the terminal for pregnant women, and the examination by the medical institution is a test for resistance to bacteria in the vagina Including If resistance to vaginal bacteria is lower pregnant women, health care system in pregnant women for adding a numerical value to the unhealthy side in the arithmetic unit is provided.
ここで、前記医療機関用端末に第２表示部をさらに設け、前記判断部によって医師の診察を要すると判断された場合には、第２表示部にその旨を表示するようにするのが好ましい。 Here, it is preferable that a second display unit is further provided in the medical institution terminal, and when the determination unit determines that a medical examination is required, the fact is displayed on the second display unit. .
さらに本発明によれば、妊婦の健康状態を管理するプログラムであって、記憶手段に記憶されている所定の問診票を表示手段に表示するステップと、前記問診票に対して入力された回答を、記憶手段に記憶されている、腟内細菌に対する耐性の検査を含む医療機関による診察結果を加味して演算し数値化し、腟内細菌に対する耐性が低い妊婦の場合には、前記演算において不健康側へ数値を加味するステップと、前記演算結果によって妊婦の健康状態を判断するステップと、前記判断手段による判断結果を前記表示手段に表示するステップとをコンピュータに実行させるためのプログラムが提供される。 Furthermore, according to the present invention, there is provided a program for managing the health condition of a pregnant woman, the step of displaying a predetermined questionnaire stored in the storage unit on the display unit, and an answer inputted to the questionnaire In the case of a pregnant woman with low resistance to vaginal bacteria, it is calculated by taking into account the results of medical examination including the examination of resistance to vaginal bacteria stored in the storage means, and is unhealthy in the calculation. There is provided a program for causing a computer to execute a step of adding a numerical value to the side, a step of determining a health condition of a pregnant woman based on the calculation result, and a step of displaying the determination result by the determination unit on the display unit .
本発明の健康管理装置及び健康管理システムによれば、個々の妊婦の健康状態を的確に判断することができ、一般には些細な体調変化であってもその妊婦にとっては重大な体調変化を見逃すことがない。加えて、医療機関への不必要な受診を抑制して医療機関の負担を軽減できる。 According to the health management device and the health management system of the present invention, it is possible to accurately determine the health status of each pregnant woman, and in general, even a slight change in physical condition overlooks a significant change in physical condition for that pregnant woman. There is no. In addition, unnecessary medical visits can be suppressed and the burden on medical institutions can be reduced.
以下、本発明に係る妊婦の健康管理装置及び健康管理システムなどについて図に基づいて説明するが、本発明はこれらの実施形態に何ら限定されるものではない。 Hereinafter, a pregnant woman's health management apparatus and health management system according to the present invention will be described with reference to the drawings, but the present invention is not limited to these embodiments.
図１に、本発明に係る妊婦の健康管理装置の一例を示すブロック図を示す。図１の健康管理装置１は、記憶手段１１と、表示手段１２と、入力手段１３と、演算手段１４と、判断手段１５と、通信手段１６と、報知手段１７と、制御手段１８とを有する。記憶手段１１は、医療機関による診察結果と、所定の問診票と、問診票に対する回答を記憶する。医療機関による診察結果としては、例えば、妊婦の腹囲、体重、血圧、子宮底、浮腫、尿糖、尿蛋白、胎児心拍数、胎児位置などの測定結果、血液検査、細菌検査、子宮癌検査などの検査結果などが挙げられる。 FIG. 1 is a block diagram showing an example of a pregnant woman health management apparatus according to the present invention. The health management device 1 in FIG. 1 includes a storage unit 11, a display unit 12, an input unit 13, a calculation unit 14, a determination unit 15, a communication unit 16, a notification unit 17, and a control unit 18. . The memory | storage means 11 memorize | stores the answer with respect to the medical examination result by a medical institution, a predetermined | prescribed questionnaire, and a questionnaire. Medical examination results include, for example, pregnant woman's abdominal circumference, body weight, blood pressure, uterine bottom, edema, urine sugar, urine protein, fetal heart rate, fetal position, blood test, bacterial test, uterine cancer test, etc. The test results are listed.
ところで、妊婦の約８％が早産に至っており、この主な原因は細菌性腟症と考えられている。細菌性腟症は腟内に雑菌が繁殖した状態をいい、妊娠中にこの状態が悪化し子宮腔内まで細菌感染が波及すると早産になる。腟内はある種の乳酸菌によって通常はｐＨ４程度に保たれているので、本発明者等は、腟内ｐＨを切迫早産患者の検出の指標にできないか鋭意検討を重ねたが、単に腟内ｐＨを測定しただけでは切迫早産患者を検出できなかった。そこで、本発明者等はさらに検討を重ね、以下に説明する「腟内のｐＨ緩衝能」という概念を導入し、妊婦の細菌性腟症に対する耐性を腟内ｐＨの緩衝能として捉え、妊婦腟内のｐＨ緩衝能の弱い妊婦（耐性の低い妊婦＝早産しやすい妊婦）と、ｐＨ緩衝能の強い妊婦（耐性の高い妊婦＝早産しにくい妊婦）とに分けられることを臨床試験等により見出した。一般に「緩衝能」とは、酸又は塩基を加えたときに生じるｐＨの変化を抑制しようとする尺度のことをいう。ｐＨ緩衝能の強い妊婦（耐性の高い妊婦）の場合には、腟内に雑菌が入っても乳酸菌によって腟内のｐＨが一旦中性側に傾いてもすぐに酸性に戻るため容易には腟炎にはならない。一方、ｐＨ緩衝能の弱い妊婦（耐性の低い妊婦）の場合には、腟内のｐＨがなかなか酸性に戻らず長時間中性側に傾いているため雑菌が繁殖し腟炎になりやすい。図７に臨床試験データの一部を示す。 By the way, about 8% of pregnant women have reached premature birth, and the main cause is considered to be bacterial mania. Bacterial gonorrhea is a condition in which germs have propagated in the vagina, and when this condition worsens during pregnancy and bacterial infection spreads into the uterine cavity, premature labor occurs. Since the vaginal cavity is usually maintained at about pH 4 by a certain type of lactic acid bacteria, the present inventors have made extensive studies to determine whether the vaginal pH can be used as an index for detection of imminent and premature birth patients. It was not possible to detect imminent premature birth patients simply by measuring. Therefore, the present inventors have further studied, introduced the concept of “pH buffering ability in the vagina” described below, and considered the resistance of the pregnant woman to bacterial mania as buffering capacity of the vagina pH, It was found by clinical trials that it can be divided into pregnant women with weak pH buffering ability (pregnant women with low tolerance = pregnant women who are prone to premature delivery) and pregnant women with strong pH buffering ability (pregnant women with high tolerance = pregnant women who are difficult to have premature births) . In general, the “buffer capacity” refers to a measure for suppressing a change in pH that occurs when an acid or a base is added. In the case of pregnant women with strong pH buffering ability (pregnant women with high tolerance), even if various bacteria enter the vagina, it easily returns to acidity even if the pH in the vagina is once inclined to the neutral side by lactic acid bacteria. It will not be. On the other hand, in the case of pregnant women with weak pH buffering ability (pregnant women with low tolerance), since the pH in the vagina does not return to acidity easily and is inclined to the neutral side for a long time, miscellaneous bacteria propagate and prone to vaginitis. FIG. 7 shows a part of clinical trial data.
図７は、健常妊婦５８人及び切迫早産妊婦２７人の腟内から採取した分泌液のｐＨ値と、１０μＬの分泌液を、ｐＨ７．４で１０ｍＭのリン酸緩衝液（以下「ＰＢＳ」と記すことがある）１０００μＬに溶かした溶液のｐＨ値とを示したものである。この図から理解されるように、ＰＢＳを添加しない場合の腟内分泌液のｐＨ値は、健常妊婦と切迫早産妊婦とで大きな差は見られない。これに対し、ＰＢＳを添加した場合の腟内分泌液のｐＨ値は、健常妊婦に比べて切迫早産妊婦は高くなっている。このように、細菌性腟症に対する耐性の低い妊婦か、耐性の高い妊婦かは、ＰＢＳを添加した腟内分泌液のｐＨ値が所定値（例えばｐＨ５．９）以上かどうかによって判別し得る。したがって、前記の細菌検査の一つとして、腟内細菌に対する耐性検査を含めるのが望ましい。 FIG. 7 shows the pH value of the secretions collected from the vagina of 58 healthy pregnant women and 27 imminent preterm women and 10 μL of the secretion solution at pH 7.4 and 10 mM phosphate buffer (hereinafter “PBS”). It shows the pH value of the solution dissolved in 1000 μL. As can be seen from this figure, there is no significant difference in the pH value of the vaginal endocrine fluid when PBS is not added between healthy and imminent pregnant women. On the other hand, the pH value of the vaginal endocrine fluid when PBS is added is higher in imminent pregnant women than in healthy pregnant women. Thus, a pregnant woman with low resistance to bacterial mania or a highly resistant pregnant woman can be discriminated based on whether the pH value of the vaginal endocrine fluid to which PBS is added is equal to or higher than a predetermined value (for example, pH 5.9). Therefore, it is desirable to include a resistance test against bacteria in the cage as one of the above-described bacterial tests.
前述のように、腟内細菌に対する耐性検査は、妊婦の腟内の分泌物を採取して緩衝液に溶解しｐＨを測定することにより行われる。かかる耐性検査を妊婦や医院などで簡便に行えるようにする観点から、前記分泌物を採取する採取部材と、緩衝液と、ｐＨ測定手段とを容器等に入れて腟内細菌耐性検査キットとしてもよい。前記採取部材としては、腟内の分泌物を採取できるものであれば従来公知のものが使用でき、例えば、綿棒などが好適に使用できる。また前記緩衝液としては、例えば、リン酸緩衝液が好適に使用できる。ｐＨ測定手段としてはｐＨ試験紙など従来公知のものが使用できる。 As described above, the resistance test for bacteria in the vagina is performed by collecting secretions in the vagina of pregnant women, dissolving them in a buffer solution, and measuring the pH. From the viewpoint of making it possible to easily conduct such resistance tests in pregnant women, clinics, etc., the collection member for collecting the secretion, buffer solution, and pH measurement means may be put in a container or the like as a vaginal bacterial resistance test kit. Good. As the collecting member, a conventionally known member can be used as long as it can collect the secretions in the sputum. For example, a cotton swab can be preferably used. Moreover, as said buffer solution, a phosphate buffer solution can be used conveniently, for example. As the pH measuring means, conventionally known ones such as pH test paper can be used.
腟内細菌耐性検査キットの一例を図５に示す。図５の腟内細菌耐性検査キットは、適宜に計量されたリン酸緩衝液が入れられた密封された容器５１と、腟分泌物を採取する綿棒５２と、緩衝液と腟分泌物を攪拌する攪拌棒５３と、攪拌後の溶液のｐＨを測定するｐＨ試験紙５４からなる。 An example of the in-vaginal bacterial resistance test kit is shown in FIG. The in-vaginal bacterial resistance test kit of FIG. 5 stirs a sealed container 51 containing an appropriately weighed phosphate buffer, a cotton swab 52 for collecting sputum secretion, and the buffer and sputum secretion. It comprises a stirring bar 53 and a pH test paper 54 for measuring the pH of the solution after stirring.
図６に前述の腟内細菌耐性検査キットの使用手順を示す。手順１として、緩衝液が入れられ密封された容器５１の蓋を開ける。手順２として、緩衝液が入れられた容器に腟分泌物を採取した綿棒５２を浸す。手順３として、腟分泌物と緩衝液が良く混ざるように攪拌棒５３で攪拌する。手順４として、攪拌後の溶液のｐＨをｐＨ試験紙等のｐＨ測定器で測定する。 FIG. 6 shows the procedure for using the above-described intravaginal bacterial resistance test kit. As a procedure 1, the lid of the container 51 sealed with a buffer solution is opened. As a procedure 2, the cotton swab 52 from which the sputum secretion is collected is immersed in a container containing a buffer solution. As procedure 3, stir with a stir bar 53 so that the sputum secretion and the buffer are mixed well. As procedure 4, the pH of the solution after stirring is measured with a pH measuring instrument such as a pH test paper.
図２に、問診票の一例を示す。問診票の質問項目は、妊娠週数によって変えるあるいは増やしてもよい。問診票の各質問項目に対する回答は入力手段１３（図１に図示）から入力する。図２に示す問診票の場合には、該当する症状の回答番号を選択入力する。これらの問診票に対する回答は記憶手段１１（図１に図示）に記憶される。 FIG. 2 shows an example of the questionnaire. The question items of the questionnaire may be changed or increased depending on the number of weeks of pregnancy. Answers to each question item of the questionnaire are input from the input means 13 (shown in FIG. 1). In the case of the questionnaire shown in FIG. 2, the answer number of the corresponding symptom is selected and input. Answers to these questionnaires are stored in the storage means 11 (shown in FIG. 1).
演算手段１４では、問診票における各質問項目の回答に対する評点を演算して数値化する。例えば、図２の「出血」項目における回答の評点を「なし」０点、「拭くと付く程度」２点、「おりものシートで間に合う程度」４点、「ナプキンが必要な程度」６点、「血のかたまりが出た」８点とする。問診票の各質問項目の回答についても同様にして評点を付け、すべての質問項目に対する回答の評点を合計して、その合計点によって妊婦の健康状態を判断する。そして、質問項目に対する回答、合計点、健康状態は記憶手段１１に記憶される。上記例示の場合には、合計点が低いほど健康状態は良好で、合計点が高いほど健康状態は不良と判断される。 In the calculation means 14, the score for the answer to each question item in the questionnaire is calculated and digitized. For example, in the “bleeding” item of FIG. 2, the answer score is “None” 0 points, “Wipe and wiped” 2 points, “Degree of time with a sheet of cage” 4 points, “Napkin required” 6 points, “Blood of blood has come out” 8 points. A score is similarly assigned to the answers to the question items of the questionnaire, and the scores of the answers to all the question items are totaled, and the health status of the pregnant woman is determined based on the total score. The answers to the question items, the total score, and the health status are stored in the storage unit 11. In the case of the above example, the lower the total score, the better the health condition, and the higher the total score, the poor the health condition.
ここで重要なことは、本発明の健康管理装置では、問診票の各質問項目に対する回答の評点を合計する際、医療機関による診察結果を加味することである。例えば、前述の腟内細菌に対する耐性検査の結果、耐性が低いとされた妊婦の場合には、「出血」などの特定項目における評点を例えば２倍にして合計する、あるいは合計点を例えば２０％増しにする。これにより一般には些細な体調変化であってもその妊婦にとっては重大な体調変化の見逃しがなくなり、個々の妊婦の健康状態を的確に判断することができる。 What is important here is that, in the health management device of the present invention, when the scores of answers to the respective question items of the questionnaire are totaled, the results of the medical examination are taken into account. For example, in the case of a pregnant woman with low resistance as a result of the above-described resistance test against bacteria in the vagina, the score in a specific item such as “bleeding” is doubled, for example, or the total score is, for example, 20% Increase it. As a result, even if there is a slight change in physical condition, a significant change in physical condition is not overlooked by the pregnant woman, and the health status of each pregnant woman can be accurately determined.
なお、評点の演算に加味する医療機関による診察結果としては、腟内細菌に対する耐性検査結果の他、定期健診時のプレグノグラム（妊娠経過図）による医師の判断から導かれる、妊婦の経験的（初産、経産）、精神的（生活行動、情緒安定）、肉体的（妊婦の腹囲、体重、血圧など）、生理的（細菌耐性など）な情報が挙げられる。 In addition, as a result of medical examinations that take into account the calculation of the score, in addition to the results of resistance tests against bacteria in the vagina, as well as empirical ( This includes information on first birth, parous), mental (living behavior, emotional stability), physical (abdominal circumference, weight, blood pressure, etc.) and physiological (bacterial resistance, etc.).
そして、合計点が所定点以上の場合には、妊婦に対して医療機関を至急受診するよう報知手段１７によって報知する。報知手段１７としては、例えば表示画面への表示やランプの点灯・点滅、ブザー音などが挙げられる。また同時に、通信手段１６によって医療機関に報知するのが好ましい。通信手段１６としては、例えば、インターネット通信、USB通信、BlueTooth通信等の従来公知の通信を用いることができる。そしてまた、妊婦の問診票に対する日々の回答及び評点の合計点などは、通信手段１６を介して医療機関へ送信するのが望ましい。 When the total score is equal to or higher than the predetermined score, the notification means 17 notifies the pregnant woman to receive medical care immediately. Examples of the notification means 17 include display on a display screen, lighting / flashing of a lamp, and a buzzer sound. At the same time, it is preferable to notify the medical institution by the communication means 16. As the communication means 16, for example, conventionally known communication such as Internet communication, USB communication, and BlueTooth communication can be used. Further, it is desirable to transmit the daily answer to the pregnant woman's questionnaire, the total score, etc. to the medical institution via the communication means 16.
なお、問診票における各質問項目の回答に対する評点は、妊娠週数に応じて変えるのが好ましい。例えば、「出血」項目に対する回答が「ナプキンが必要な程度」である場合、その評点を、妊娠週数が２１週までは６点とし、妊娠週数が２２週を超えると８点とする。これにより妊婦の健康状態をより的確に判断することができる。 In addition, it is preferable to change the score for the answer of each question item in the questionnaire according to the number of weeks of pregnancy. For example, if the answer to the item “Bleeding” is “Napkin is necessary”, the score is 6 points until the 21st week of pregnancy and 8 points if the pregnancy week exceeds 22 weeks. This makes it possible to more accurately determine the health status of pregnant women.
本発明の健康管理装置は、本発明によるプログラムをＣＤ−ＲＯＭやＤＶＤ−ＲＯＭなどの記録媒体からインストールする、あるいは通信ネットワークを介してインストールすることによって機能を発揮させる。 The health management device of the present invention exhibits its function by installing the program according to the present invention from a recording medium such as a CD-ROM or DVD-ROM or via a communication network.
図３に、以上説明した本発明の健康管理装置の制御例を示すフローチャートを示す。まず、記憶手段から問診票を読み出し表示手段に表示する（ステップＳ１０１）。そして、妊婦が問診票の各質問項目に対して回答を入力するのを待つ（ステップＳ１０２，Ｓ１０３）。妊婦がすべての質問項目に対して回答すると、医療機関による診察結果を記憶手段から読み出し（ステップＳ１０４）、問診票の回答に対する評点と前記診察結果を加味して演算する（ステップＳ１０５）。演算結果が所定値以上の場合には（ステップＳ１０６）、妊婦の健康状態が異常であると判断し、表示手段に医療機関に至急受診するよう促す表示を行うと共に（ステップＳ１０７）、妊婦の健康状態が異常であることを医療機関に通信手段を介して報知する（ステップＳ１０８）。一方、演算結果が所定値未満の場合には（ステップＳ１０６）、妊婦の健康状態は正常であると判断し、その旨を表示手段に表示し（ステップＳ１０９）、制御を終了する。 FIG. 3 is a flowchart showing a control example of the health management apparatus of the present invention described above. First, an inquiry form is read from the storage means and displayed on the display means (step S101). And it waits for a pregnant woman to input an answer with respect to each question item of an inquiry form (step S102, S103). When the pregnant woman responds to all the question items, the medical examination result by the medical institution is read from the storage means (step S104), and the score for the answer to the questionnaire and the medical examination result are taken into consideration (step S105). When the calculation result is equal to or greater than the predetermined value (step S106), it is determined that the pregnant woman's health condition is abnormal, and the display means prompts the doctor to visit the medical institution immediately (step S107). It is notified to the medical institution via the communication means that the state is abnormal (step S108). On the other hand, if the calculation result is less than the predetermined value (step S106), it is determined that the pregnant woman's health condition is normal, the fact is displayed on the display means (step S109), and the control is terminated.
次に、本発明に係る妊婦の健康管理システムについて説明する。図４に、本発明に係る妊婦の健康管理システムの一例を示すブロック図を示す。この図に示す健康管理システムは、妊婦が使用する複数台の妊婦用端末２と、医療機関が使用する医療機関用端末３と、サーバ４とが通信ネットワーク５を介して接続されている。 Next, the health management system for pregnant women according to the present invention will be described. FIG. 4 is a block diagram showing an example of a pregnant woman's health management system according to the present invention. In the health management system shown in this figure, a plurality of pregnant woman terminals 2 used by pregnant women, a medical institution terminal 3 used by a medical institution, and a server 4 are connected via a communication network 5.
妊婦用端末２は、スマートフォンや家庭用汎用コンピュータなどから構成され、表示画面（第１表示部）２１と、操作キーやタッチパネル、マウスなどの入力操作部（第１入力部）２２とを備える。医療機関用端末３は、汎用コンピュータなどから構成され、表示画面（第２表示部）３１と、キーボードやタッチパネル、マウスなどの入力操作部（第２入力部）３２とを備える。サーバ４は、問診票と、問診票に対する妊婦の回答と、医療機関による診察結果とを記憶する記憶部と、問診票に対する回答を、医療機関による診察結果を加味して演算し数値化する演算部と、演算結果によって妊婦の健康状態を判断する判断部とを備える。 The pregnant woman terminal 2 includes a smartphone, a home general-purpose computer, and the like, and includes a display screen (first display unit) 21 and an input operation unit (first input unit) 22 such as operation keys, a touch panel, and a mouse. The medical institution terminal 3 includes a general-purpose computer and the like, and includes a display screen (second display unit) 31 and an input operation unit (second input unit) 32 such as a keyboard, a touch panel, and a mouse. The server 4 is a storage unit for storing the questionnaire, the response of the pregnant woman to the medical questionnaire, and the medical examination result by the medical institution, and the operation for calculating and quantifying the answer to the medical examination questionnaire taking into account the medical examination result. And a determination unit that determines the health status of the pregnant woman based on the calculation result.
妊婦用端末２の表示画面２１に、サーバ４から読み出された所定の問診票が表示され、問診票の各質問項目に対する回答が入力操作部２２によって入力される。入力された回答はサーバ４の記憶部に記憶される。一方、医療機関用端末３からは、医療機関による診察結果が入力され、入力された診察結果はサーバ４の記憶部に記憶される。そして、サーバ４の演算部において、問診票に対する回答が評点された後、医療機関による診察結果を加味して演算されて数値化される。なお、問診票に対する回答の評点の演算方法については、前記実施形態の具体例がここでも例示される。 A predetermined questionnaire read from the server 4 is displayed on the display screen 21 of the pregnant woman terminal 2, and an answer to each question item of the questionnaire is input by the input operation unit 22. The input answer is stored in the storage unit of the server 4. On the other hand, the medical institution terminal 3 inputs a medical examination result by the medical institution, and the inputted medical examination result is stored in the storage unit of the server 4. Then, after the answer to the questionnaire is scored in the calculation unit of the server 4, the calculation is performed taking into consideration the result of the examination by the medical institution and digitized. In addition, the specific example of the said embodiment is illustrated here also about the calculation method of the score of the reply with respect to a questionnaire.
そして、判断部において演算結果が所定値以上かどうかを判断され、演算結果が所定値以上であれば妊婦の健康状態が異常で、医師の診察を要すると判断し、妊婦用端末２の表示画面２１に医療機関に受診するよう促す表示をする。また同時に、通信ネットワーク５を介して医療機関用端末３の表示画面３１にも妊婦の健康状態が異常であることを表示する。 Then, it is determined whether or not the calculation result is equal to or greater than a predetermined value in the determination unit. If the calculation result is equal to or greater than the predetermined value, it is determined that the health status of the pregnant woman is abnormal and medical examination is required, and the display screen of the pregnant woman terminal 2 21 is displayed to urge the medical institution to consult. At the same time, it is also displayed on the display screen 31 of the medical institution terminal 3 via the communication network 5 that the health status of the pregnant woman is abnormal.
本発明に係る健康管理装置及び健康管理システムによれば、定期検診から定期検診までの在宅における妊婦の健康状態が日々判断され、些細な体調変化であってもその妊婦にとっては重大な体調変化の見逃しがなくなる。これにより妊婦にとって大きな安心感が得られる。また、医療機関にとっては不必要な受診が抑制され医師等への負担が軽減される。さらに、妊婦の日々の健康状態を定期検診の際などに医療機関において活用できる。 According to the health management device and the health management system of the present invention, the health status of a pregnant woman at home from a regular check-up to a regular check-up is determined every day, and even if a slight change in physical condition, a significant change in physical condition for the pregnant woman There is no oversight. This provides a great sense of security for pregnant women. In addition, unnecessary visits to medical institutions are suppressed, and the burden on doctors and the like is reduced. In addition, the daily health status of pregnant women can be used in medical institutions during regular medical examinations.
１ 健康管理装置
２ 妊婦用端末
３ 医療機関用端末
４ サーバ
１１ 記憶手段
１２ 表示手段
１３ 入力手段
１４ 演算手段
１５ 判断手段
１６ 通信手段
２１ 表示画面（第１表示部）
２２ 入力操作部（第１入力部）
３１ 表示画面（第２表示部）
３２ 入力操作部（第２入力部）
５１ 容器
５２ 綿棒
５３ 攪拌棒
５４ ｐＨ試験紙（ｐＨ測定手段）
DESCRIPTION OF SYMBOLS 1 Health management apparatus 2 Terminal for pregnant women 3 Terminal for medical institutions 4 Server 11 Storage means 12 Display means 13 Input means 14 Calculation means 15 Judgment means 16 Communication means 21 Display screen (first display section)
22 Input operation unit (first input unit)
31 Display screen (second display part)
32 Input operation unit (second input unit)
51 Container 52 Cotton swab 53 Stirring stick 54 pH test paper (pH measuring means)
Claims (6)
前記問診票を表示する表示手段と、
前記問診票に対する回答を入力する入力手段と、
前記問診票に対する回答を、前記診察結果を加味して演算し数値化する演算手段と、
前記演算結果によって妊婦の健康状態を判断する判断手段とを備え、
前記判断手段による判断結果を前記表示手段に表示する妊婦の健康管理装置であって、
前記医療機関による診察が腟内細菌に対する耐性の検査を含み、腟内細菌に対する耐性が低い妊婦の場合には、前記演算手段において不健康側へ数値を加味することを特徴とする妊婦の健康管理装置。 Storage means for storing a medical examination result by a medical institution, a predetermined questionnaire, and an answer to the questionnaire;
Display means for displaying the questionnaire,
An input means for inputting an answer to the questionnaire;
An arithmetic means for calculating and digitizing an answer to the medical questionnaire, taking into account the medical examination result,
A judging means for judging the health condition of a pregnant woman based on the calculation result,
A health management apparatus for pregnant women that displays the judgment result by the judgment means on the display means ,
The health care apparatus for pregnant women , wherein the examination by the medical institution includes a test for resistance to vagina bacteria, and in the case of a pregnant woman with low resistance to vagina bacteria, a numerical value is added to the unhealthy side in the computing means .
前記妊婦用端末は、所定の問診票を表示する第１表示部と、前記問診票に対する回答を入力する第１入力部とを備え、
前記医療機関用端末は、診察結果を入力する第２入力部を備え、
前記サーバは、前記問診票と、前記問診票に対する妊婦の回答と、医療機関による診察結果とを記憶する記憶部と、前記問診票に対する回答を、医療機関による診察結果を加味して演算し数値化する演算部と、演算結果によって妊婦の健康状態を判断する判断部とを備え、
前記判断部による判断結果を妊婦用端末の第１表示部に表示し、
前記医療機関による診察が腟内細菌に対する耐性の検査を含み、腟内細菌に対する耐性が低い妊婦の場合には、前記演算部において不健康側へ数値を加味する妊婦の健康管理システム。 A system in which a pregnant woman terminal used by a pregnant woman, a medical institution terminal used by a medical institution, and a server are connected via a communication network,
The pregnant woman terminal includes a first display unit that displays a predetermined questionnaire and a first input unit that inputs an answer to the questionnaire.
The medical institution terminal includes a second input unit for inputting a diagnosis result,
The server calculates the numerical value obtained by calculating the medical questionnaire, the answer of the pregnant woman to the medical questionnaire, and the medical examination result by the medical institution, and the answer to the medical examination sheet, taking the medical examination result into consideration. And a determination unit that determines the health status of the pregnant woman based on the calculation result,
Displaying the determination result by the determination unit on the first display unit of the pregnant woman terminal ,
A health management system for pregnant women, in which the examination by the medical institution includes a test for resistance to vaginal bacteria, and in the case of a pregnant woman with low resistance to vaginal bacteria, the arithmetic unit adds a numerical value to the unhealthy side .
記憶手段に記憶されている所定の問診票を表示手段に表示するステップと、前記問診票に対して入力された回答を、記憶手段に記憶されている、腟内細菌に対する耐性の検査を含む医療機関による診察結果を加味して演算し数値化し、腟内細菌に対する耐性が低い妊婦の場合には、前記演算において不健康側へ数値を加味するステップと、前記演算結果によって妊婦の健康状態を判断するステップと、前記判断手段による判断結果を前記表示手段に表示するステップとをコンピュータに実行させるためのプログラム。 A program for managing the health of pregnant women,
Medical treatment including a step of displaying a predetermined questionnaire stored in the storage unit on the display unit, and a test for resistance to the bacteria in the cage , in which the answer inputted to the questionnaire is stored in the storage unit In the case of a pregnant woman with low resistance to vagina bacteria, taking into account the results of the examination by the institution, the step of adding the numerical value to the unhealthy side in the calculation and the calculation result to determine the health status of the pregnant woman And a program for causing a computer to execute a step of displaying the determination result of the determination unit on the display unit.
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| JP2003265484A (en) * | 2002-03-13 | 2003-09-24 | Terumo Corp | Woman's health care system |
| WO2005055805A2 (en) * | 2003-12-02 | 2005-06-23 | Shraga Rottem | An artificial intelligence and device for diagnosis, screening, prevention and treatment of materno-fetal conditions |
| JP2007004662A (en) * | 2005-06-27 | 2007-01-11 | Tatsunori Yuumen | Visiting medical examination support system and method thereof |
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2011
- 2011-07-05 JP JP2011148754A patent/JP5569884B2/en not_active Expired - Fee Related
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| KR20180078844A (en) * | 2016-12-30 | 2018-07-10 | 서울대학교산학협력단 | Smart system for operating personal health management for a pregnant |
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